caa a22 4500 605456941 CHVBK 20210128100220.0 cr unu---uuuuu 210128e20150901xx s 000 0 eng 10.1007/s00167-014-3044-z doi (NATIONALLICENCE)springer-10.1007/s00167-014-3044-z Endoscopic decompression for chronic compartment syndrome of the forearm in motocross racers [Elektronische Daten] [Christophe Jans, Geert Peersman, Benjamin Peersman, Tom Van Den Langenbergh, Jody Valk, Tom Richart] Purpose: Sporting activities that involve repetitive stress to muscle compartments can elicit chronic exertional compartment syndrome. Its occurrence in the lower leg muscle compartments is most common, but other locations are less well known and the pathophysiology is not completely understood. In motocross racers, chronic exertional compartment syndrome can occur in the muscles of the lower arm. Currently, the only accepted treatment of correctly diagnosed chronic exertional compartment syndrome is surgical release of the fascia, which successfully relieves pain and allows patients to return to full activity. Open decompression is considered as the gold standard of treatment. This clinical paper describes our new endoscopic technique and investigates the functional outcome after surgery. Methods: We report on a series of 154 chronic exertional compartment syndromes afflicted motocross racers treated with an endoscopic release of the lower arm muscles. An MRI scan before and after strenuous exercise of the hand flexors (repetitive grip until exhaustion for 15min) was performed to confirm the clinical diagnosis of chronic exertional compartment syndrome. Symptom severity before and after surgery was assessed using a visual analogue scale. Results: Preoperative symptom severity scores were 1.1±0.3 before exercise and 7.4±1.5 after exercise. Post-operatively, these were 1.0±0.2 and 1.7±0.9. The pre- versus post-operative symptom scores after exercise were significantly different (p<0.0001). No perioperative complications occurred, and at 6weeks, all of the racers resumed their sportive activities. Conclusion: It can be concluded that endoscopic release of the superficial compartment of the forearms of motocross racers diagnosed with chronic exertional compartment syndrome is a valuable treatment option, with mild post-operative pain and fast recovery. Level of evidence: IV. Springer-Verlag Berlin Heidelberg, 2014 Compartment syndrome nationallicence Motocross racers nationallicence Chronic nationallicence Fasciotomy nationallicence Endoscopic nationallicence Forearm nationallicence Surgical technique nationallicence Jans Christophe Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut Peersman Geert Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut Peersman Benjamin Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut Van Den Langenbergh Tom Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut Valk Jody Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut Richart Tom Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/9(2015-09-01), 2522-2527 0942-2056 23:9<2522 2015 23 167 https://doi.org/10.1007/s00167-014-3044-z text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00167-014-3044-z text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Jans Christophe Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut NATIONALLICENCE 700 1- Peersman Geert Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut NATIONALLICENCE 700 1- Peersman Benjamin Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut NATIONALLICENCE 700 1- Van Den Langenbergh Tom Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut NATIONALLICENCE 700 1- Valk Jody Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut NATIONALLICENCE 700 1- Richart Tom Ziekenhuis Netwerk Antwerpen, Lange Beeldekensstraat 267, 2060, Antwerp, Belgium aut NATIONALLICENCE 773 0- Knee Surgery, Sports Traumatology, Arthroscopy Springer Berlin Heidelberg 23/9(2015-09-01), 2522-2527 0942-2056 23:9<2522 2015 23 167